EVERGREEN – NPI #1528023116
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

EVERGREEN is a provider located in BENNINGTON, VT. NPPES has assigned the NPI number 1528023116 to EVERGREEN on April 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EVERGREEN” is a dba name, the actual legal business name for this organization is EMIL P. MISKOVSKY MD PC. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN below.

NPI Profile for
EMIL P. MISKOVSKY MD PC

NPI Number
1528023116
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMIL P. MISKOVSKY MD PC
Doing Business As (dba): EVERGREEN
Primary location
140 HOSPITAL DR
SUITE 215
BENNINGTON, VT 05201-5009
Phone: (802) 442-4785 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMIL MISKOVSKY
OWNER
Phone: (802) 442-4785
Updated
Identifiers

Identifiers for EVERGREEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVT1007971
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.